Scaffolding Permit Template
Complex Scaffolding & Suspended Stage Permit (AS/NZS 1576)
Construction & Manufacturing edition
$200AUDBuy now — editable Word
Controls scaffold erection, alteration and inspection, including the scaffold-parts checklist. Medium Hazard edition — editable Word document with its permit form built in. Choose your state at checkout.
The Construction & Manufacturing pack is the full permit-to-work system: this permit, the framework and every other permit in the tier. 10 editable Word documents for $1,825 AUD.
See the Construction & Manufacturing pack — $1,825What this permit controls
Controls scaffold erection, alteration and dismantling, and inspection before use — including the scaffold-parts inspection checklist and handover. Enforces competent erection and inspection before access.
Typical work covered
- ✓Modular scaffold erection
- ✓Tube-and-clamp scaffold work
- ✓Suspended / hanging scaffold (BMU)
- ✓Mobile aluminium tower assembly
- ✓Scaffold alteration mid-project
- ✓Daily handover-tag inspections
Hazards this permit addresses
Each hazard is identified on the permit form with the controls that must be in place before the issuer signs.
Outcome if uncontrolled: Fatal fall from height.
Outcome if uncontrolled: Struck-by injury to ground crew.
Outcome if uncontrolled: Mass-casualty event.
Outcome if uncontrolled: Electrocution of erectors.
Outcome if uncontrolled: Sheeting, decking and material flying loose.
Outcome if uncontrolled: Scaffold out of design, hidden defect.
What the permit form includes
Editable Microsoft Word form. Yellow cells are the only ones you complete on a typical job. Sections:
How to use this permit
Reference the scaffold design and load rating. Confirm tie points and foundation.
Barricade below the work. Brief other trades to stay clear. Erect by ticketed scaffolders only.
Competent person inspects and tags green (complete and safe). Re-inspect every 30 days or after weather event / alteration.
Once green-tagged, other trades may access the scaffold. Tags revert to yellow during alteration; red when unsafe.
Re-establish exclusion zone for dismantle. Lower components, don't throw. Final inspection.
Frequently asked
What format is it in?
Editable Microsoft Word (.docx) with its permit form built in. Bracketed [fields] mark where to add your business name, ABN, site details and authorising officers.
Which jurisdiction do I get?
You choose your state at checkout (NSW, VIC, QLD, WA, SA, TAS, ACT or NT). The document references the Act, regulator and code of practice in force there — Victoria on OHS, the rest on harmonised WHS.
Is it cheaper in the pack?
Yes — the Medium-Hazard Pack bundles 10 documents for $1,825. Buying singles is best when you need only one or two.
Do I still need review?
Yes. This is a starting-point template; customise it to your site and have a competent person review it, in consultation with workers, before issuing live permits.
The complete Construction & Manufacturing permit-to-work system
One pack holds all 10 documents below, so every permit is issued, controlled and closed out on the same set of forms.
- ✓Permit-to-Work System & Framework
- ✓General Work Permit
- ✓Hot Work & Fire Watch Permit (AS 1674.1)
- ✓Energised Electrical Work Permit (AS/NZS 4836)
- ✓Working at Heights & Fall Protection Permit (>2m)
- ✓Confined Space Entry & Rescue Permit (AS 2865)
- ✓Excavation & Ground Penetration Permit (>1.5m)
- ✓Crane Critical Heavy Lift Permit (>80% Capacity)
- ✓Complex Scaffolding & Suspended Stage Permit (AS/NZS 1576) (this page)
- ✓Specialist Contractor Interface
10 editable Word documents for your state. One-off payment.
See the Construction & Manufacturing packOr buy this permit on its own for $200.
Other construction & manufacturing permits
A Permit-to-Work Management System supplied as editable Microsoft Word documents, built to comply with the harmonised model WHS laws and Victoria's OHS Act 2004. Compliance is achieved by implementing and maintaining the system and having it reviewed by a competent person, in consultation with workers, for your site, plant and personnel; final responsibility under the legislation remains with the PCBU. Licensed for use within the purchasing organisation only. To the maximum extent permitted by law, the vendor's liability is limited to the price paid.